ISSN: 1859 - 2872
A study on clinical characteristics, computer tomography brain imaging and surgical results of chronic subdural hematoma
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Abstract
Objective: Study on clinical characteristics, computer tomography brain imaging and results of chronic subdural hematoma (CSDH). Subjective and method: A cross-sectional, descriptive and retrospective study was conducted on 102 patients who were diagnosed with CSDH and operated at 108 Military Central Hospital from June 2020 to June 2021. Result: Mean age was 67.5 years; male/female ratio was 5/1; the most common cause was trauma brain injury (49%); The most common symptom of Chronic subdural hematoma was headache (74.5%), altered mental state (50%), cognitive impairmen (39.2%), hemiparesis (23.9%); hematoma maximal thickness, and midline shift were associated with a higher rate of hemiparesis in CSDH patients (p<0.05); 73.5% of patients had Glasgow ≥ 13, 82.4% of patients had unilateral hematoma. The most common densities of CSDH obtained from CT imaging was isodense (accounting for 49.0%); then hypodense (24.5%), hyperdense (22.6%) and mixed densities (3.9%). The most common complication of burr hole technique was pneumocephalus (accounting for 7.8%); Residual CSDH (4.9%). The Glasgow outcome scale (GOS) 4 - 5 was 93.7% within 3 months. Conclusion: The chronic subdural hematoma was one of the most common disease in neurosurgery. The burr hole drainage technique was safe and effective.
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References
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